Pneumonia due to Hemophilus influenzae
CMS-HCC V24
HCC 115
RAF 0.130
ESRD/PACE
HCC 115
RAF 0.030
ACA/HHS
Source required
RAF source required
Index trail
Pneumonia due to Hemophilus influenzae
See Tabular List: J14
J14, Pneumonia due to Hemophilus influenzae
Selected code, source checked for the selected effective period
Not listed for this effective period.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Pneumonia due to Hemophilus influenzae
See Tabular List: J14
J14, Pneumonia due to Hemophilus influenzae
Selected code, source checked for the selected effective period
Not listed for this effective period.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
V24
HCC 115
Pneumococcal Pneumonia, Empyema, Lung Abscess
RAF: 0.130
ESRD/PACE
HCC 115
Pneumococcal Pneumonia, Empyema, Lung Abscess
RAF: 0.030
HHS-HCC
source required
HHS-HCC source required or member context needed for selected effective period
RAF: source required
MEAT checklist
Reviewed by Jess P., CPCMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by Jess P., CPCClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by Jess P., CPCMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Pneumonia due to Hemophilus influenzae
CMS-HCC V24
HCC 115
RAF 0.130
ESRD/PACE
HCC 115
RAF 0.030
ACA/HHS
Source required
RAF source required
Code
J14
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.